Individual
ALEXIS PRICKETT ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 W BLOOMINGDALE AVE, BRANDON, FL 33511-7404
(813) 654-1110
Mailing address
203 W BLOOMINGDALE AVE, BRANDON, FL 33511-7404
(813) 654-1110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113188
FL
363AM0700X
Medical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/19/2018
Last updated
07/16/2024
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